Individual
MARY ELIZABETH BERNAL CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
100 E CARROLL ST, SALISBURY, MD 21801-5422
(410) 543-7536
(410) 543-7272
Mailing address
100 E CARROLL ST, SALISBURY, MD 21801-5422
(410) 543-7536
(410) 543-7272
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R131285
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
405537300
—
MD
Enumeration date
10/14/2005
Last updated
02/20/2015
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